If pt comes with category 3 dog bite…and if he was previously immunised…then will immunoglobulin be given?
Yes full course with RIG
If previous immunization is within 3 months oly wound washing is enough no rig/vaccine.
If more than 3 months booster dose of vaccine is given on 0th and 3rd. No rig!
said, only adequate wound washing would be required in case of re-exposure where the animal bite victim has documented proof of complete PEP or PrEP within the last three months.
For exposed or re-exposed patients who can document previous completion of PrEP or PEP but not within the last 3 months, then the following guidelines would be applicable:
•Proper wound management should be done.
•There is no need for the administration of RIG.
•One site ID or IM vaccine administration on days 0 and 3.
Thank you.